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目的了解言语残疾人的性满意度(SS)及SS下降的危险因素。方法 148例言语残疾人完成一般情况问卷、Zung氏抑郁自评问卷、社会支持评定量表和SS自评。用有序因变量多元Logistic回归筛选SS下降的相关因素。结果 26.4%的言语残疾者不满意自己目前的性生活。SS下降的危险因素包括女性(OR=2.46)、无业(OR=2.69)、一级和二级残疾(OR=1.78)、患有躯体疾病(OR=2.19)、抑郁症状(OR=3.99)和低社会支持利用(OR=2.86)。结论言语残疾人SS低。治疗躯体疾病、改善心理健康和提供社会心理支持可能有助于改善言语残疾人的SS。
Objective To understand the sexual satisfaction (SS) and the risk factors for the decline of SS in speech-disabled persons. Methods 148 cases of speech disabled persons completed the general situation questionnaire, Zung’s depression self-assessment questionnaire, social support rating scale and SS self-assessment. Using ordinal dependent variable multivariate Logistic regression to screen the related factors of descending SS. Results 26.4% of speech disabled were not satisfied with their current sexual life. The risk factors for SS decline included female (OR = 2.46), unemployed (OR = 2.69), primary and secondary disability (OR = 1.78), physical illness (OR = 2.19), depressive symptoms Low social support utilization (OR = 2.86). Conclusion Speech disabilities SS low. Treating physical illness, improving mental health and providing psychosocial support may help to improve SS for speech-disabled people.